1093726713 Jennifer A Brake, MD
Sports Medicine (Family Medicine) Physician
Active
Basic Information
- Full Name
- Jennifer A Brake, MD
- Gender
- Female
- Enumeration Date
- August 10, 2006
- Last Update
- March 4, 2016
Practice Location
- Address
- 111 W JEFFERSON BLVD
STE 100
SOUTH BEND, IN 466011994 - Phone
- (574) 647-1669
- Fax
- (574) 239-6461
Mailing Address
- Address
- 710 N NILES AVE
SOUTH BEND, IN 466171924 - Phone
- (574) 647-1610
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician Sports Medicine | 207QS0010X | Family Medicine | 01058572A | IN | Primary |
| Family Medicine Physician | 207Q00000X | Family Medicine | 01058572A | IN | No |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000914885 | 01 | IN | BCBS BMG E. BLAIR WARNER |
| 000000914879 | 01 | IN | BCBS BMG SPORTS MEDICINE |
| 200475200 | 05 | IN | N/A |
Frequently Asked Questions
What is Jennifer A Brake, MD's NPI number?
Jennifer A Brake, MD's NPI number is 1093726713.
Which doctor has NPI number 1093726713?
The doctor with NPI number 1093726713 is Jennifer A Brake, MD.
What is Jennifer A Brake, MD's practice address?
Jennifer A Brake, MD's practice address is 111 W JEFFERSON BLVD, STE 100, SOUTH BEND, IN, 466011994.
Which doctor practices at 111 W JEFFERSON BLVD, STE 100, SOUTH BEND, IN, 466011994?
Jennifer A Brake, MD practices at 111 W JEFFERSON BLVD, STE 100, SOUTH BEND, IN, 466011994.
What is Jennifer A Brake, MD's mailing address?
Jennifer A Brake, MD's mailing address is 710 N NILES AVE, SOUTH BEND, IN, 466171924.
What is Jennifer A Brake, MD's phone number?
Jennifer A Brake, MD's phone number is (574) 647-1669.
Who is (574) 647-1669?
(574) 647-1669 is the phone number for Jennifer A Brake, MD.
What is Jennifer A Brake, MD's specialty?
Jennifer A Brake, MD's specialty is Sports Medicine (Family Medicine) Physician.
What type of doctor is Jennifer A Brake, MD?
Jennifer A Brake, MD is a Sports Medicine (Family Medicine) Physician.
Is Jennifer A Brake, MD a Sports Medicine?
Yes, Jennifer A Brake, MD is a Sports Medicine.
Is Jennifer A Brake, MD still practicing?
Yes, Jennifer A Brake, MD is currently practicing.
Is Jennifer A Brake, MD accepting new patients?
Jennifer A Brake, MD may be accepting new patients. Please call their office at (574) 647-1669 to inquire about availability.
Is NPI 1093726713 still active?
Yes, NPI 1093726713 is currently active.
Where does Jennifer A Brake, MD practice?
Jennifer A Brake, MD practices in SOUTH BEND, IN.
Is Jennifer A Brake, MD a male or female doctor?
Jennifer A Brake, MD is a female doctor.